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HomeMy WebLinkAboutBUSINESS PLAN (2) .f '.-- -~Ir'" . _' "'. 'L ::~ LUCKY 7 DELI-MART ,~;, " ,.:: 714 NILES STREET 11~~ I R, ) ,."" ,- .,' . ..,. ~ "'_'c",',. '~"_' _ "". ". ,"" . /" -~~~'~l;'- , f~~. . ~r 1 ':~ " ,,,' J ,I 'I II '1\' a"I_~ I, . I '. (~..." I> .~ ~ , \ I) 'i), 1_', , '~, ---'------~-~' \ '... ., ./" '. . . , e. V . ,,--- '---..T--~~.~'~ ~D ' ''Y~ " " " -_.~ ~ \~C>\ '- ~X '\!eI '--'~:j , i.I Ct ;/.... II " ..,", .-t .----.!'-- ' ,. ", . '\. .\ . "1 . .- .. 'I I, . '"\ \, (I .1/ II , i J'/J. :1 ~~.,~~:-,: .,~, /' I I ~ '\ LJ: -=====--. / J- I I I r -<> ,;. ~/---~Yd' =.-~ 115/)0 CJk. - fw, fjv -4-k 1M ~ /(~~6-r/ ~ .. __I " ~ CARDINAL t*~.Jv. C113 &IIIi'. ' . c-- - ~~~___ .~ -. ----~~--.---~ ~ -'5 LUCKY 7 DELI MART SiteID: 015-021-000852 Manager HARNEK S S~HU Location: 714 NILES ST City BAKERSFIELD CommCode: BFD STA 02 EPA Numb: BusPhone: Map : 103 Grid: 29B (661) 325-7281 CommHaz : Moderate FacUnits: 1 AOV: SIC Code: DunnBrad:770007-6737 Emergency Contact / Title HARNEK S.. Sf,.NDHU, / OWNER Business phone: (661) 325-7281x 24-Hour Phone : (661) 871-7156x Pager Phone : ( ) - x Hazmat Hazards: Contact : HARNEK S SANDHU MailAddr: 714 NILES ST City : BAKERSFIELD Owner Address : City HARNEK S SANDHU 5704 VISTA FIMESTRA DR : BAKERSFIELD Period : Preparer: Certif'd: ParcelNo: to Emergency Directives: PROG A - HAZMAT PROG U - UST Emergency Contact / Title SHARAN K SANDHU / OWNER Business Phone: (661) 325-7281x 24-Hour Phone : (661) 871-7156x Pager Phone : ( ) - x Fire ImmHlth DelHlth Phone: (661) 325-7281x State: CA Zip : 93305 phone: (661) 325-7281x State: CA Zip : 93306 TotalASTs: = Gal TotalUSTs: = Gal RSs: No [NTI~ JUL 9 0 f~~1 Based on my inquirv f h '. responsible for obtainin~ t~ t f ose individuals under penalty oi I~w Ojth ~ 'r ~rmation, I certify examined and am f~ .,..a . lave personally submitted and tleli~~7:1/:~r ~'~h the information accurate, and camp/et; e In ormation is true, s;gnatuj81 ~ ..." I g , (J 7 Date -1- 07/12/2007 .... -..: F LUCKY 7 DELI MART SiteID: 015-021-000852 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: LUCKY 7 DELI MART Cross Street : Business Type: Org Type: Total Tanks : 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper : AARON KOOP ICC Nbr: 5246187-UV PROPERTY OWNER INFORMATION Name : SHARAN K SANDHU Phone: (661) 325-7281x Address: City : State: Zip: Type : INDIVIDUAL TANK OWNER INFORMATION Name : SHARAN K SANDHU Phone: ( 661 ) 325-7281x Address: City : State: Zip: Type : INDIVIDUAL BOE UST Fee# : 033568 Financ'l Resp: STATE FUND Legal Notif : Date: Phone: (13 ) 6 - x Name:SHARAN K SANDHU Ttl:OWNER State UST # : 1998 Upg Cert#: -2- 07/12/2007 .i~ F LUCKY 7 DELI MART p= Hazmat Inventory p== MCP+DailyMax Order SiteID: 015-021-000852 By Facility Unit Fixed Containers on Site L L "I "I "I DailyMax lunitlMCP 4000.00 GAL Mod 2000.00 GAL Mod Hazmat Common Name. . . I SpecHazIEPA Hazards I Frm T UNLEADED GASOLINE GASOLINE IH DH IH DH F F -3- 07/12/2007 ," -4- 07/12/2007 "I~ SiteID: 015-021-000852 , Facility unit: Fixed containers on Site 9 Days On site 365 F LUCKY 7 DELI MART p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Location within this Facility Unit S SIDE OF FAC Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4000.00 GAL Daily Average 2000.00 GAL %Wt. RS CAS# 100.00 Gasoline No 8006619 HAZARDOUS COMPONENTS ARD E TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZ ASS SSMENTS p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GASOLINE Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit S SIDE OF FAC Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 5000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 2000.00 GAL Daily Average 1000.00 GAL %wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS~ I 8006619 NTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod HAZARD ASSESSME -5- 07/12/2007 ~ SiteID: 015-021-000852 1 Fas t Format 1 Overall Site 9 07/19/2006 F LUCKY 7 DELI MART I f= Notif./Evacuation/Medical Agency Notification FOR GAS RELATED HAZARDS SPILLS, MOBIL WOULD BE CONTACTED THROUGH STUART PETROLEUM. FOR FIRE AND OTHER EMERGENCY SITUATIONS HELP WOULD BE SOUGHT THROUGH 911. Employee Notif./Evacuation 07/19/2006 ONLY ONE TO TWO PERSON WORK AT ONE TIME. EACH PERSON IS DIRECTED TO LEAVE THE PLACE IMMEDIATELY AND SEEK EMERGENCY HELP TO CONTROL THE SITUATION. Public Notif./Evacuation 11/28/2000 BEING A VERY SMALL BUSINESS, EVERYBODY IN THE FACILITY WOULD BE VERBALLY NOTIFIED OR EVACUATED. Emergency Medical Plan 07/19/2006 KERN MEDICAL CENTER. IF NECESSARY, 911 COULD BE ACTIVATED TO GET EMERGENCY MEDICAL HELP. HALL AMBULANCE IS LOCATED A FEW BLOCKS EAST OF THIS BUSINESS. -6- 07/12/2007 r ~ SiteID: 015-021-000852 , Fast Format 9 Overall Site 9 07/19/2006 F LUCKY 7 DELI MART I p= Mitigation/Prevent/Abatemt Release Prevention EMERGENCY SWITCH WILL BE ACTIVATED IMMEDIATELY. IF SPILL DOES OCCUR, PROFESSIONALLY TRAINED HELP WILL BE REQUESTED TO PROPERLY HANDLE THE SPILL. Release Containment 07/19/2006 FIRST AND FOREMOST STEPS WILL BE TO ACTIVATE THE EMERGENCY SHUT-OFF SWITCH. THIS WILL STOP PUMP THUS NO MORE GAS WILL BE RELEASE. MOVE ALL VEHICLES AND OTHER SOURCES OF IGNITION TO SAFER AREA. REQUEST THAT SMOKERS EXTINGUISH THEIR CIGARETTES. DIKE WITH SAND OR EARTH TO CONTAIN THE RUN-OFF. DISPOSE OF THE SAND IN ACCORDANCE TO RULES AND REGULATIONS. Clean Up 07/19/2006 IF SITUATION WARRANT SPECIAL CLEAN-UP TEAM IS NEEDED THEN MOBIL WOULD BE ASKED TO PROVIDE THAT ASSISTANCE. IN OTHER SITUATIONS, LOCALLY COMPETENT ESTABLISHMENT WOULD BE CONTACTED TO CERTIFY THE SITUATION. Other Resource Activation -7- 07/12/2007 f- .... SiteID: 015-021-000852 "I Fast Format "I Overall Site "I F LUCKY 7 DELI MART I p= Site Emergency Factors Special Hazards Utility Shut-Offs 12/14/2006 A) GAS - NONE B) ELECTRICAL - E WALL ALONG BACK C) WATER - E AND N WALL D) SPECIAL - EMER SHUT-OFF SWITCH E) LOCK BOX - NO DOOR FOR GAS PUMPS N OF ENTR DOOR Fire Protec./Avail. Water 12/14/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - NW CRNR BAKER & NILES. Building Occupancy Level 03/31/2006 2 EMPLOYEES -8- 07/12/2007 .j::. ,"" r ,~ SiteID: 015-021-000852 9 Fast Format 9 Overall Site 9 07/19/2006 F LUCKY 7 DELI MART I F Training Employee Training MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL THE EMPLOYEES ARE KNOWLEDGEABLE TO ACTIVATE THE EMERGENCY SHUT-OFF SWITCH, ELECTRIC MAIN SWITCH, WATER HYDRANT. DEPENDING UPON THE SERIOUSNESS OF SITUATION, THEY ARE ASKED TO CONTACT 911 OR OTHER APPROPRIATE EMERGENCY. GET EVERYBODY OUT OF THE BLDG AND MOVE TO A SAFE CORNER OF BAKER AND NILES ST. Page 2 Held for Future Use Held for Future Use -9- 07/12/2007 " -.' .~' Ii LUCKY 7- DELI MART Manager ,/1I1Rrf1J1( S. 5f}NJJHil Location: 714 NILES ST City BAKERSFIELD SiteID: 015-021-000852 BusPhone: Map : 103 Grid: 29B (661) 325-7281 CommHaz : Moderate FacUnits: 1 AOV: CommCode: BFD STA 02 EPA Numb: SIC Code: DunnBr~d:770007-6737 Emergency Contact / Title HARNEK S SANDHU / OWNER Business Phone: (661) 325-7281x 24-Hour Phone : (661) 871-7156x Pager Phone : ( ) - x Emergency Contact SHARAN K SANDHU Business Phone: 24-Hour Phone : Pager Phone : / Title / OWNER (661) 325-7281x (661) 871-7156x ( ) - x Hazmat Hazards: Fire ImmHlth DelHlth Contact: N~RNfl< S~ G/J"';])HlJ MailAddr: 714 NILES ST City : BAKERSFIELD Period : Preparer: Certif'd: parcelNo: to Phone: (661 ) 325-7281x State: CA Zip : 93305 Phone: (661) 325-7281x State: CA Zip : 93306 ,TotalASTs : = Gal TotalUSTs: = Gal RSs: No Owner Address : City HARNEK SANDHU 5704 VISTA FIMESTRA DR : BAKERSFIELD. Emergency Directives: PROG A - HAZMAT PROG U - UST ENTD FEB 26 2007 Based on my inquiry of those individu~IS responsible for obtaining the information, I certify under penalty of law that I have person~lIy examined and am familiar ~ith the !nformatlon submitted and believe the mformatlon is true, accurate, and complete. 1& (j[\ -A ;-11 ( /) 7 Signature ~ Date -1- 02/02/2007 f!' . , Ii F LUCKY 7 DELI MART SiteID: 015-021-000852 9 STORAGE CONTAINER DATA (UST FORM A) Last Action Type: FACILITY/SITE INFORMATION Business Name: LUCKY 7 DELI MART Cross Street : tal"'fiP../ NIL&S Business Type: liil Org Type: Total Tanks, : 2 IndnRes/Trust: No PA Contact: Dsg Own/Oper : AARON KOOP ICC Nbr: 5246187-UV PROPERTY OWNER INFORMATION Name : SHARAN K SANDHU Phone: (661) 325-7281x Address: 700 NILES COf City : ll>~ State: en Zip: tl3so) Type : INDIV DUAL TANK OWNER INFORMATION Name : SHARAN K SANDHU Phone: (661) 325-7281x Address: 7fJO /'IILG (; 5'" City- : fb~~qj'l State: fA Zip: Q330) Type : INDI IDUAL BOE UST Fee# : 033568 Financ'l Resp: STATE FUND Legal Notif : Business Mailing Address Date: )... '}- 07 Phone: (3 6) 681- x Name:SHARAN K SANDHU Ttl:OWNER State UST # : 1998 Upg Cert#: -2- 02/02/2007 . (i SiteID: 015-021-000852 By Facility Unit Fixed Containers on Site 9 9 9 DailyMax lunitlMCP 4000.00 GAL Mod 2000.00 GAL Mod F LUCKY 7 DELI MART p= Hazmat Inventory f== MCP+DailyMax Order Hazmat Common Name... I SpecHazIEPA Hazards I Frm I UNLEADED GASOLINE GASOLINE F F IH DH IH DR L L , -3- 02/02/2007 r., 'T -4- 02/02/2007 ., SiteID: 015-021-000852 9 Facility Unit: Fixed Containers on Site 9 F LUCKY 7 DELI MART p= Inventory Item 0002 = COMMON NAME / CHEMICAL NAME UNLEADED GASOLINE Days On Site 365 Location within this Facility Unit S SIDE OF FAC Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK Largest Container 10000.00 GAL AMOUNTS AT THIS LOCATION Daily Maximum 4000.00 GAL Daily Average 2000.00 GAL %WL I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS # I a006619' HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod p= Inventory Item 0001 = COMMON NAME / CHEMICAL NAME GASOLINE , Facility Unit: Fixed Containers on Site 9 Days On Site 365 Location within this Facility Unit S SIDE OF FAC Map: Grid: CAS # 8006-61-9 STATE - TYPE Liquid Mixture PRESSURE Ambient TEMPERATURE Ambient CONTAINER TYPE UNDER GROUND TANK , AMOUNTS AT THIS LOCATION Daily Maximum 2000.00 GAL Largest Container 5000.00 GAL Daily Average 1000.00 GAL %Wt. I 100.00 Gasoline HAZARDOUS COMPONENTS ~ CAS#a006619I HAZARD ASSESSMENTS TSecret RS BioHaz Radioactive/Amount EPA Hazards NFPA USDOT# MCP No No No No/ Curies F IH DH / / / Mod -5- 02/02/2007 ~ SiteID: 015-021-000852 9 Fast Format 9 Overall Site 9 07/19/2006 F LUCKY 7 DELI MART I p= Notif./Evacuation/Medical Agency Notification FOR GAS RELATED HAZARDS SPILLS, MOBIL WOULD BE CONTACTED THROUGH STUART PETROLEUM. FOR FIRE AND OTHER EMERGENCY SITUATIONS HELP WOULD BE SOUGHT THROUGH 911. Employee Notif./Evacuation 07/19/2006 ONLY ONE TO TWO PERSON WORK AT ONE TIME. EACH PERSON IS DIRECTED TO LEAVE THE PLACE IMMEDIATELY AND SEEK EMERGENCY HELP TO CONTROL THE SITUATION. Public Notif./Evacuation 11/28/2000 BEING A VERY SMALL BUSINESS, EVERYBODY IN THE FACILITY WOULD BE VERBALLY NOTIFIED OR EVACUATED. Emergency Medical Plan 07/19/2006 KERN MEDICAL CENTER. IF NECESSARY, 911 COULD BE ACTIVATED TO GET EMERGENCY MEDICAL HELP. HALL AMBULANCE IS LOCATED A FEW BLOCKS EAST OF THIS BUSINESS. -6- 02/02/2007 ~ T SiteID: 015-021-000852 , Fast Format 9 Overall Site 9 07/19/2006 F LUCKY 7 DELI MART I p= Mitigation/Prevent/Abatemt Release Prevention EMERGENCY SWITCH WILL BE ACTIVATED IMMEDIATELY. IF SPILL DOES OCCUR, PROFESSIONALLY TRAINED HELP WILL BE REQUESTED TO PROPERLY HANDLE THE SPILL. Release Containment 07/19/2006 FIRST AND FOREMOST STEPS WILL BE TO ACTIVATE THE EMERGENCY SHUT-OFF SWITCH. THIS WILL STOP PUMP THUS NO MORE GAS WILL BE RELEASE. MOVE ALL VEHICLES AND OTHER SOURCES OF IGNITION TO SAFER AREA. REQUEST THAT SMOKERS EXTINGUISH THEIR CIGARETTES. DIKE WITH SAND OR EARTH TO CONTAIN THE RUN-OFF. DISPOSE OF THE SAND IN ACCORDANCE TO RULES AND REGULATIONS. Clean Up 07/19/2006 IF SITUATION WARRANT SPECIAL CLEAN-UP TEAM IS NEEDED THEN MOBIL WOULD BE ASKED TO PROVIDE THAT ASSISTANCE. IN OTHER SITUATIONS, LOCALLY COMPETENT ESTABLISHMENT WOULD BE CONTACTED TO CERTIFY THE SITUATION. Other Resource Activation -7- 02/02/2007 'i SiteID: 015-021-000852 9 Fast Format 9 Overall Site 9 F LUCKY 7 DELI MART I p= Site Emergency Factors Special Hazards Utility Shut-Offs 12/14/2006 A) GAS - NONE B) ELECTRICAL - E WALL ALONG BACK C) WATER - E AND N WALL D) SPECIAL - EMER SHUT-OFF SWITCH E) LOCK BOX - NO DOOR FOR GAS PUMPS N OF ENTR DOOR Fire Protec./Avail. Water 12/14/2006 PRIVATE FIRE PROTECTION - FIRE EXTINGUISHERS. FIRE HYDRANT - NW CRNR BAKER & NILES. Building Occupancy Level 03/31/2006 2 EMPLOYEES -8- 02/02/2007 .). ,_:r.;-,. SiteID: 015-021-000852 , Fast Format 9 Overall Site 9 07/19/2006 F LUCKY 7 DELI MART I F Training Employee Training MATERIAL SAFETY DATA SHEETS ON FILE. BRIEF SUMMARY OF TRAINING PROGRAM: ALL THE EMPLOYEES ARE KNOWLEDGEABLE TO ACTIVATE THE EMERGENCY SHUT-OFF SWITCH, ELECTRIC MAIN SWITCH, WATER HYDRANT. DEPENDING UPON THE SERIOUSNESS OF SITUATION, THEY ARE ASKED TO CONTACT 911 OR OTHER APPROPRIATE EMERGENCY. GET EVERYBODY OUT OF THE BLDG AND MOVE TO A SAFE CORNER OF BAKER AND NILES ST. Page 2 Held for Future Use Held for Future Use -9- 02/02/2007 l: J <1' + LUCKY 7 DELI MART =================================== SiteID: 015-021-000852 + Manager Location: 714 NILES ST City BAKERSFIELD BusPhone: Map : 103 Grid: 29B (661) 325-7281 CommHaz : Moderate FacUnits:' 1 AOV: CommCode: BFD STA 02 SIC Code: EPA Numb: DunnBrad:770007-6737 +==============================================================================+ +=======================================+======================================+ Emergency Contact / Title Emergency Contact / Title HARNEK S SANDHU / (]ItJNE~ SHARAN K SANDHU / ar.vry'fR Business Phone: (661) 325-7281x Business Phone: (661) 325-7281x 24-Hour Phone : (661) 871-7156x 24-Hour Phone : (661) 871-7156x Pager Phone () x Pager Phone () x +---~------------------~----------------+--------------------------------------+ I Hazmat Hazards: Fire' ImmHlth DelHlth I +~-~--~-------------~-------~---------------------~------------~---~-----~----,-+ Contact : Phone: (661) 325-7281x MailAddr: 714 NILES ST State: CA City : BAKERSFIELD Zip : 93305 +------------------------------------------------------------------------------+ Owner HARNEK SANDHU Phone: (661) 325-7281x Address : 5704 VISTA FIMESTRA DR State: CA City : BAKERSFIELD Zip : 93306 +------------------------------------------------------------------~-----------+ Period to TotalASTs: = Gal Preparer: TotalUSTs: = Gal Certifid: RSs: No ParcelNo: +------------~----~------------------------------------------f~--------------+ Emergency Dlrectlves: "fUJlIl PROG A - HAZMAT 1 9 ?f1/) PROG U - UST vU8 83sed on my inquiry of those individuals responsible for obtaining the information, I certify under penalty of law that I have personally examined and am familiar with the information submitted and believe the information is true, accurate, and complete. ,1M~ 1:1-/0 '06 Signature Date alp I-XrJ\O \ rr '0 srfJ ~ -i- "0 CZ>~cP\ {. 0' +==============================================================================+ -1- 03/31/2006 RONALD J. FRAZE FIRE CHIEF Gary Hutton, Senior Deputy Chief Administration 326-3650 Deputy Chief Dean Clason Operationsrrraining 326-3652 Deputy Chief Kirk Blair Fire SafetyJPrevention Services 326-3653 2101 "H" Street Bakersfield, CA 93301 OFFICE: (661) 326-3941 FAX: (661) 852-2170 RALPH E. HUEY, DIRECTOR PREVENTION SERVICES RRE SAFETY SERVICES. ENVIRONMENTAL SERVICES 900 Truxtun Avenue, Suite 210 Bakersfield, CA 93301 OFFICE: (661) 326-3979 FAX: (661) 852-2171 David Weirather Fire Plans Examiner 326-3706 Howard H. Wines, III Hazardous Materials Specialist 326-3649 April 10, 2006 Mr. Harnek Sandho Lucky 7 Deli Mart 714 Niles Street Bakersfield, CA 93305 REMINDER NOTICE Re: Guidelines for Unsupervised Dispensing Dear Mr. Sandho: It has come to our attention that many convenience stores who sell gasoline, like yourselves, are closing late at night. If you are using card readers and leaving your fuel pumps on, this is defined in the California Fire Code as: "Unsupervised Dispensing." Unsupervised dispensing is allowed when the owner or operator provides, and is accountable for daily site viSits, regular equipment inspection and maintenance, including any unauthorized release or spills, posted instructions for safe operation of dispensing equipment, arid posted telephone numbers for the owner or operator. Signs prohibiting smoking, prohibiting dispensing into unapproved containers and requiring vehiCle engines to be stopped during fueling shall be conspicuously posted within site of each dispenser. In addition, a sign shall be posted in a conspicuous location reading: In case of spill or release: 1) Use Emergency Pump shut-off 2) Report the accident 3) Fire Department Telephone 4) Facility address During the hours of operatioh, stations having unsupervised dispensing shall be provided with a fire alarm transmitting device. A telephone not requiring a coin to operate is acceptable. The fuel leak detection system must have a remote or phone modem to insure off-Site monitoring during hours of unsupervised dispensing. During hours of darkness, sufficient lighting must be maintained so that all signs associated with fueling operation are conspicuous and readable. A gallon container of an absorbent material used for spills must be made available to the public during hours of unsupervised dispensing. A fire extinguisher with a minimum 2A, 2B, and 2C rating must be located on dispenser island during hours of unsupervised dispensing. .,(?/~tk ~~~~9f@~. CI "' ":, To: Mailing List of Valued Customers Reminder Notice Re: Guidance for Unsupervised Dispensing April 10, 2006 Page 2 " . i If you are currently having hours of unsupervised dispensing, you must comply with the above-mentioned requirements. . Starting April 15, 2006, this office will conduct rahdom checks of all fueling stations within the city limits for compliance. If you shut your station down after normal business hours and are not pumping fuel, please disregard this reminder notice. Should you have any questions, please feel free to call me at 661-326-3190. Sincerely, Ralph E. Huey, Director of Prevention Services " ~cUwi:0 By: Steve Underwood, Fire Prevention Officer REH/db ~uh()~ ~p-- Lj-/-tJ 3 ~.-L U~FIED PROGRAM INSPECTION CHECKLIST 1" SECTION 1 Business Plan and Inventory Program Bakersfield Fire Dept. Enironmental Services 1715 Chester Ave Bakersfield. CA 93301 Tel: (661)326-3979 FACrJ2r ~ -, U c. L .. "l& f .t___ . _. _. - ,_ __ (; ~ .~ ~~c! H__ --- - --- -- - 'l ili IIN;~Cr~ cA~3 .! ~~s:~~m~~~~E__ , ADDRESS -, - - - -- ---: .-- - -, ----,---- -- PHONE No ,No of Employees {I 4 }-{ l k]_,,__ ~l______"'_____ ___"___' __uu_,____ _n_ _______.___ 3K: 1JSJ __t_ _ ~ ,___ __ FAl~JLI.TYCONTACT -- BuSiness 10 Number 15-021- a Routine Section 1: Business Plan and Inventory Program 'm Combined a Joint Agency a Multi-Agency 0 Complaint aRe-inspection c v ~ ( C=Compliance ) V=Violation OPERATION m__C:~:ENT _.(Q)~ ApPROPRIATE PERMIT ON HAND --i'--T-'--.-"----------'-'-'---"-~----' ----..--..,-,,---..-,- - -, ..-.- ------ rr a BUSINESS PLAN CONTACT INFORMATION ACCURATE -~~--~~SIBLE -~DRESS ,-----------,-.-. - ------ ,-..---"......- .""", - --------,-.-.-"'.-,--'. 07~~ORRECT - OC~UPA:~~--u_-.---------n--"-- -- -..-. - -.,-----, - ..-. --, - _n...__.._..______ .- ,.. .. ~.~'- VE~;:;-;ATIO~- OF-I~~~NT~RY ~TE~IAL;-------'--..-,..-' U, --'..7'-....-----..-----..------..'--....----- ---...-----.- ..- ,-.----, - - -----... - - ,,----....--.. --,----.--..... ..... -,-,-.. ..-" .., , (g/ LJ VERIFICATION OF QUANTITIES "'-'T'--" -.--,----------..--..,-----.....---.----..-....-...--. ---,-.--..------.. ..,__.........__n_._...__,__"..__,__ -' - -,-..-,-.... .... ,. i9" a VERIFICATION OF LOCATION -~~-----~;~~~ SEGREG~~IO~~~-~;TER:~:--------'-.-,.. ~.,-~ VER:FICATION O;~-~~-; AV~~~ABILI~-;'------""u---- '--..'--'--' _,_,_,_'u ,--,----,--.----..,--.---...--,-..,-. -fi7 0 -'-V~~;I~~TION OF-H~-MAT ~~~~~_m. -, .,..,...--,...----.. --"...-.----,-,---- -- u__nn__u_n__,__..._,__,._'.... ' --- --, ,... E(-D-~-RIFICATlON OF "~~:TEMENT S~;~~;~~-~N; ;~~~~~~~~ _______.m_ ---~-.--..-.-. ,- u_____h ..,-..,... --- """ - ...,-.... ___._._______.___"________._____._.___.___._______._ .______ ____.._._.____ .____.._______.____.. "__., ___ __".__.. -__.'__0.- _.. ._____._______ _n .._____.."_ __. / a EMERGENCY PROCEDURES ADEQUATE -~~::~~~NT~~~~~-~~~i~i;~-~~~~~~:~~:~~-~~~..=.~~,=--':,':,',.~_-:~.:~~~--.-~'=~~ ,__.-_:=~~,-~,-_' _~-"',:---_'~',,.~_~_: .::,.',~ ".., 6.. LJ HOUSEKEEPING. j ,.../-.-..--'-'--...-,..._____.___._.._'_.._"'_'___~-.......- '''_''''_'_'__ ___ ___'___" __,__",__."__,__,__,______,_,,,_____.._. ______ _. ,..._u__,_.._, tJ Cl FIRE PROTECTION u~r;-- S,~~D~~~~~MA~~~~~~~-&-ON'-H~~.~-----.- ---.------ ------.--- ---..---- 'h_____,,__ .... .."....,,- n___u_,_.. ,'. "..n" ..,-. ANY HAZARDOUS WASTE ON SITE?: DYES ~O EXPLAIN: QUEmIi' RE"^,:~ rs INSPECTION? PLEASE CAll US AT (661) 326-3979 V~ (k{jJm}-~() L/ .,_oz.._______________ ._,.._.._~.. ,_, .,_..,,_....._____,_____,___, Inspector Badge No., /"'-, ..,________.____.AA}0:Hfb _____ Business Site Responsible Party WhIle .. Environmenlal Services Yellow . Station Copy Pink . Business Copy 1 tf,. CITY OF BAKERSFIELD FIRE DEPARTMENT UNIFIED PROGRAM INSPECTION CHECKLIST ; t 7 t 5 Chester A VC., 3rd Floor, Bakersfield, CA 9330 I I FACILITY NAME ~U(~,( f OJ!' tll{(~'t INSPECTION DATE 5"-( - () 3 Section 2: Underground Storage Tank~ Program o Routine I:ti Combined 0 Joint Agency Type of Tank ~ILJI_ (~,v.J Type of Monitoring fiT(" o Multi-Agency 0 Complaint Number of Tanks L Type of Piping ~U)5 ( c . P. ) ORe-inspection OPERA TlON C V COMMENTS V v Propt:r tank data on tilt: - Propt:r ownt:r/operator data on tile V Pennit fees current , l./ Certification of Financial Responsibility v Monitoring record adequate and current v / Maintenance records adequate and current 1/ / ... Failurt: to correct prior UST violations Has there been an unauthorized release? Yes No J Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS spec available SPCC on tile with OES Adequate secondary protection Proper tank placarding/laheling Is tank used to dispense MYF? I f yes. Does tank have overtill/overspill protection? C=Compliance Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 n J);f~~tih Business Site Responsible Party White - fnv. Svcs. Pin~ ' Business C"py UNIFIED---PAOGRAM INSPECTtON CHECKLIST :': BAKERSFIELD FIRE DEPI' Prevention Services 900 nuxtun Ave.. Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 f4~:;~''''' ~~l;:H~.~...w.i,',"i\~l'~~j.;":)t~..", (.!.~F~"l.2':,~,; '-,' ;.;r-'flf.'~~',,:' i:<;"3l~-j;:('7.;'Y..:''''~'<i>~,.'- -~,,,,?,'.:-,"'.~ .'-","~-"_: ; ":"':;:.:1'_'.'1""._ - .'~; '-'0_;'> ,'!<'" J:~';"..._';, SECTION 1: Business Plan and Inventory Program FACILITY CONTACT USINESS 10 NUMBER 15-021- ADDRESS D ROUTINE Section 1: Business Plan and Inventory Program COMBINED '0- JOINT-AGENCY--cr MUL TI-AGENCY-O' COMPLAINT D RE-INSPECTION C V ( C=CornPlianCe) OPERATION COMMENTS V=Violation ,---,-,-,----- ._-~--------- ~_.-' --..-- ,---,-",----,--,-,,--, --,----------_.._,-,---,--,----,---,- 9~ ApPROPRIATE PERMIT ON HAND v pf.D Business PLAN CONTACT INFORMATION ACCURATE fl/' D VISIBLE ADDRESS ~ D CORRECT OCCUPANCY P D VERIFICATION OF INVENTORY MATERIALS ~ D VERIFICATION OF QUANTITIES "a-o VERI FICA TION OF LOCATION ENr'l1 tvIli fj h ~ ^~' .. piLD PROPER SEGREGATION OF MATERIAL .. v I !UUo ~-._~-_._-------,----_._----_._-_._--~_..__...._--_.__..-...-.,. "___ ___.___. ____Uu.".___ n_ .__.m_m..__.__.....__ ___ __+__. ~__ .______._._________.....~_._.,..._ "__...____.m______,___. .,a...,D VERIFICATION OF MSDS AVAILABILITY ~D VERIFICATION OF HAl MAT TRAINING ~ D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ~D EMERGENCY PROCEDURES ADEQUATE ~D CONTAINERS PROPERLY LABELED d2f- D HOUSEKEEPING ce>-- D FIRE PROTECTION c=J2 D SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: DYES D NO PLEASE CALL US AT (661) 326-3979 Inspector (Please Print) Fire Prevention Il"' In / Shift of SitelStation # White - Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (Rev, 02/05) ~-~~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd Floor, Bakersfield. CA 93301 FACILITY NAME Lc.{/~ 7 OLL' vYl/JILi7 INSPECTION DATE :2 - 2J--ob Section 2: Underground Storage Tanks Program o Routine ~ombined 0 Joint Agency 0 Multi-Agency 0 Complaint Type of Tank (~5',\'"'{JI~cuArl .71(/7",~NumberofTanks 1... Type of Monitoring -ep Type of Piping flbC.{hl~ cA/4d ORe-inspection OPERA TION C V COMMENTS Proper tank data on file C-' . " t- Proper owner/operator data on file Penn it fees current L- Certification of Financial Responsibility "- Monitoring record adequate and current L- (h (! 11./, --r1J U v"A/'i~" <;, U1 }]f. o;L7;</r~a. Maintenance records adequate and current L~ Failure to correct prior UST violations C- Has there been an unauthorized release? Yes vA-- No Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? If yes, Does tank have overfill/overspill protection'? C=Compliance V=Violation Y=Yes N=NO Inspector: M/YId a.J ~b A- P- 1- Office of Environ me mal Services (661) 326-3979 fl11i) ~ Business Site Responsibl-eParty While - Fnv. Svcs. Pink - Flllsiness Copy ',-'':' I ~'" ~, .-~,-, ......-.;.::;. L~ . ".-" ... 1,._ ~.., "" .""!.'--... ,__,'__;':~,!~;:-__~r'" '\.---"----.--. '-.J."":'"~' ~, ,........-.,.., "'-. . ,'__' _"""~--_"-"". ....:. _:;""'~''-:''''''''. 1 ._. -___.............,.r.'___r-..-,...__-.~__.."...__....._..... ~~"-1 -------- STATUS REPORT --------- rUE FE8 21,06 il:45:48 RM STHTIGH HH!'1E: LUCK'-/ 7 11ARKET 700 NILES ST. 1-305-325-7281 BAKERSFIELD, CA. 933136 mtiK 1 PRODUCT: CURRENT STATUS: I I I , GROSS: NET: FUEL LE/..JEL: i;iATER LEUEL: TEi'lP : G~:OSS I)TF: i3RCt3S ULLAGE: THNK 2 PPODUCi: C!JRRmT STRTUS: , I I I I I 13ROSS: HET: FUEL LEIJEL: I.~ATER LEVEL: TE}1P: GROSS I.JTF: @OSS ULLAGE: UNLEAC,ED , I I I I I 4805.126 gal 4750.255 gal 40.2523 in (1.2648 in 77 .568 !If 7194.860 gal 95;';=6594 .8613 gal PLUS I , , , 1686.397 9al 1707.352 gal 18.9268 ifl 0.5367 in 4~3 ,:::83 !SF 1[i313 ~EA0 13al 95~=9713.640 gal ~ "~-,: '_:;., 'l::::T:::;"r..:t~~l; <' '~."~.l}:':, ", I ---~ SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPI' Prevention Sentces 900 Truxtun Ave., Suite 210 Bakersfield. CA 93301 Tel.: (661) 326-3979 Fax: (661) 872-2171 UNIFIeD PROGRAM INSPECTiON CHECKLIST "",,'" .'4_';l!l'ol.:;_';.~~I;'::::':t~;;~...~'r,~~'i'.~'JJ','r;'.~~"$'3i1~,)::.t.<:">"'~'" ;'"-i' ,i.j' ~h;"'~..: ~::;"!~:,;/";'V,,_~':;~,:.::.':-'<.:,""~.." c,-",:._'",\':'..:~;.'"' . . ~',:.;;.,'..':.- ,.' ..~': ",!__,_.r - ".''':'' J:-::'l'." ;.. \)~; ~-'.~' '.. .'. FACILITY NAh ADDRESS l)dt NSPECTlON TIME D ROUTINE Section 1: Business Plan pnd I~ventory Program t:'5 3 I q-r- .-------------.--------.-------.------ COMBINED D JOINT AGENCY D MULTI-AGENCY D COMPLAINT D RE-INSPECTION C V (C=COl)1plianCe) V=Violation OPERATION COMMENTS ApPROPRIATE PERMIT ON HAND Business PLAN CONTACT INFORMATION ACCURATE VISIBLE ADDRESS CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATERIALS VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION ENT'D AUG 0'3 2 PROPER SEGREGATION OF MATERIAL CONTAINERS PROPERLY LABELED ~~b-..t\ ON ~ EMERGENCY PROCEDURES ADEQUATE HOUSEKEEPING FIRE PROTECTION !ll/D SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON SITE? EXPLAIN: DYES iNO 71"'ln / Shift of Site/Statior\. # ~{" ,.. White - Prevention Services Yellow - Station Copy Pink - Business Copy FD2049 (R!\,.02/05) ~ CITY OF BAKERSFIELD FIRE DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES UNIFIED PROGRAM INSPECTION CHECKLIST 1715 Chester Ave.. 3rd f'loor. Bakersfield. CA 93301 .v FACILITY NAME_kur.~\.f" tk (I DAtlr-t INSPECTION DA TE~O{.:, Section 2: Underground Storage Tanks Program o Routine 0 Combined Type of Tank ..5w L Type of Monitoring o Joint Agency c..P. ATe, o Multi-Agency Number of Tanks Type of Piping o Complaint 1l SWL ~ tP. ORe-inspection OPERA TION C V COMMENTS Proper tank data on tile V , ,', Proper owner/operator data on tile V Penn it fees current V" Certification of Financial Responsibility V '" Monitoring record adequate and current V .;' Maintenance records adequate and current V / Failure to correct prior UST violations .......... ,. Has there been an unauthorized release? Yes No ~ Section 3: Aboveground Storage Tanks Program TANK SIZE(S) Type of Tank AGGREGATE CAPACITY Number of Tanks OPERA TION Y N COMMENTS SPCC available SPCC on tile with OES Adequate secondary protection Proper tank placarding/labeling Is tank used to dispense MVF? [fyes. Does tank have overtill/overspill protection'? C=Compliance Y=Yes N=NO Inspector: Office of Environmental Services (661) 326-3979 Whitc - Fnv. Svcs. B. S. R ~bl P usmess Ite esponsl e arty Pink - flllsincss Cory